Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Wendell Alan Edgin, DDS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1619977493

Dr. Wendell Alan Edgin, DDS is an Oral Surgery in San Antonio, Texas. Qualified in 1980, 46 years ago. Practices with University of Texas Health Science Center at San Antonio, a 1,295-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
46
Licensed in
TX
In the registry since
2005
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

4499 Medical Dr Ste 190
San Antonio, TX 78229-3735
Phone: (210) 614-3916
Fax: (210) 614-3918
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 12355 (TX)

Record details

NPI number1619977493
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 22, 2005
Last updated in NPPESFebruary 28, 2008
Mailing address4499 Medical Dr, Suite 190, San Antonio, TX 78229-3735

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Medical schoolOTHER
Graduated 1980 (46 years in practice)
Group practice University Of Texas Health Science Center At San Antonio — 1295 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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